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Customer Complaint Form

Formal complaint intake with severity classification, root-cause prompts and resolution SLA tracking.

Updated 26d ago
complaintcustomerresolutionsla

Document Control

FieldValue
Document TitleCustomer Complaint Form
Document OwnerHuman Resources
Version1.0
Effective Date{{effective_date}}
Review CycleAnnual
ClassificationInternal Use

Purpose & Scope

Capture, classify and resolve customer complaints in line with {{company_name}}'s customer-care commitments and regulatory obligations.

Complainant Details

FieldValue
Name{{customer_name}}
Account Number{{account_number}}
Contact{{customer_email}}
Preferred Channel{{preferred_channel}}

Complaint Details

FieldValue
Date Received{{date_received}}
Channel{{channel}}
Product / Service{{product}}
Severity (Low/Med/High/Critical){{severity}}

Description of Complaint

Provide a factual, chronological description of the issue raised by the customer, including dates, reference numbers and prior interactions.

Investigation Summary

Document evidence reviewed, parties interviewed and findings.

Root Cause

CategoryDetail
People
Process
System
External Factor

Resolution & Goodwill Offer

Set out the agreed resolution, any goodwill gesture, and acceptance from the customer.

Resolution SLA

StageTargetActual
Acknowledgement24h
Investigation5 business days
Resolution15 business days

Review Workflow

StageOwnerSLA
SubmissionEmployeeDay 0
Manager ReviewLine Manager2 business days
HR ReviewHR Business Partner3 business days
Final DecisionDepartment Head5 business days
CommunicationHRWithin 1 business day of decision

Notes

Use this space to capture additional context, attachments referenced, or any deviations from standard process. All notes form part of the official record.

Confidentiality & Data Protection

All personal data captured under this document is processed in accordance with {{company_name}}'s Data Protection & Privacy Policy and applicable data-protection legislation (including GDPR/UK GDPR where relevant). Records are retained for {{retention_period}} and accessed only on a need-to-know basis.

Signatures

Signed
Date

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